<div class="form-horizontal well">
    <form method="post" enctype="multipart/form-data" action="">
        <?php echo $this->form->getElement('verifycode')->render() ?>
        <div class="form-actions">
            <button class="btn btn-primary" type="submit"><?php echo $this->translate('BTN_SAVE_CHANGES'); ?></button>
        </div>
        <?php echo $this->form->getElement('email')->render() ?>
        <?php echo $this->form->getElement('csrf_token')->render() ?>
    </form>
</div>